Rheumatoid factor qualitative at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$6.14
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$90.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$2.07 with HORIZON vs $88.16 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $2.07 | ↓ -66% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $6.14 | ↑ +0% |
| VACCN | ALL PRODUCTS | $6.14 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $6.14 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $6.14 | ↑ +0% |
| CLOVER | MEDICARE ADVANTAGE | $6.14 | ↑ +0% |
| AMERIGROUP | MANAGED MEDICAID | $6.14 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $6.45 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $6.69 | ↑ +9% |
| UNITED HEALTHCARE | DSNP | $7.37 | ↑ +20% |
| KARNA | MEDICARE ADVANTAGE | $8.00 | ↑ +30% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $12.46 | ↑ +103% |
| OXFORD | ALL PRODUCTS | $12.60 | ↑ +105% |
| UNITED HEALTHCARE | HMO | $12.60 | ↑ +105% |
| AETNA | MANAGED MEDICAID | $12.69 | ↑ +107% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $19.62 | ↑ +220% |
| CIGNA | HMO | $28.14 | ↑ +358% |
| CIGNA | PPO | $28.14 | ↑ +358% |
| QUALCARE | HMO | $44.64 | ↑ +627% |
| HORIZON | OMNIA | $57.40 | ↑ +835% |
| AETNA | HMO | $61.92 | ↑ +908% |
| AETNA | PPO | $61.92 | ↑ +908% |
| HORIZON | WORKERS COMP | $63.36 | ↑ +932% |
| BERGEN RISK | ALL PRODUCTS | $67.50 | ↑ +999% |
| HORIZON | SHP | $69.26 | ↑ +1028% |
| QUALCARE | PPO | $69.93 | ↑ +1039% |
| AETNA | ASA | $70.47 | ↑ +1048% |
| HORIZON | HMO | $71.00 | ↑ +1056% |
| HORIZON | PIP | $71.01 | ↑ +1057% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $72.00 | ↑ +1073% |
| CIGNA | BH | $72.00 | ↑ +1073% |
| HORIZON | INDEMNITY | $72.03 | ↑ +1073% |
| HORIZON | PPO | $72.66 | ↑ +1083% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $76.50 | ↑ +1146% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $76.50 | ↑ +1146% |
| AMERIHEALTH | LOCAL HMO | $77.83 | ↑ +1168% |
| QUALCARE | WORKERS COMP | $79.20 | ↑ +1190% |
| AMERIHEALTH | REGIONAL HMO | $88.16 | ↑ +1336% |
Visitor-reported prices
Comments
Rheumatoid factor qualitative at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $6.75 | $2.89 – $25.36 |
| Cooperman Barnabas Medical Center | Livingston | $6.75 | $2.89 – $25.36 |
| Community Medical Center | Toms River | $6.75 | $2.89 – $25.36 |
| Clara Maass Medical Center | Belleville | $6.75 | $2.89 – $25.36 |
| Newark Beth Israel Medical Center | Newark | $6.75 | $2.89 – $25.36 |
| Jersey City Medical Center | Jersey City | $6.75 | $2.89 – $25.36 |
| Monmouth Medical Center | Long Branch | $6.75 | $2.89 – $25.36 |
| Bayshore Medical Center | Holmdel | $6.14 | $6.14 – $28.14 |